G R Kozina, DDS & Assoc, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

G R KOZINA, DDS & ASSOC, LTD

Practice address

2127 Green Bay Rd
North Chicago, IL 60064-2801

Phone

(847) 689-3800

Fax

(847) 689-0191

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Laura Formicola

Title

Practice Manager

Phone

(847) 689-3800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487700555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600648404",
            "telephone_number": "847-689-3800",
            "fax_number": "847-689-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642801",
            "telephone_number": "847-689-3800",
            "fax_number": "847-689-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G R KOZINA, DDS & ASSOC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORMICOLA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-689-3800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darnell Frye II
• Ashok Fulambarker, M.D.
• Mary Furlong
• Richard Louis Furman, M.D.
• Valerie Furst, RD, LDN
• Nancy A. Gallagher, MSW,LCSW
• Clara Noel Gannon
• Rajyalakshmi Gannu, MD
• Yacoub Garabedian, MD
• Brianna Garcia

• General Practice Dentistry in North Chicago, IL
• Providers in North Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.